L4-L5 Disc Bulge Surgery Cost in India

Last Modified: May 1, 2024  |   Created on: April 25, 2024
“The cost of L4-L5 Disc Surgery starts from USD 4,500 in India. The spine surgery hospitals in India promise unparalleled health treatments at low-cost packages.
Spine surgery success rate in India

The lumbar spinal column, also known as the lower back, consists of five vertebral bones with intervertebral attachments that allow weight-bearing and dynamic movement. The L4–L5 segment is responsible for most of the waist bending and is the most crucial spinal segment in the lower back. Patients with back pain commonly suffer from L4/L5 disc bulge disorders.

The primary cause of spinal canal stenosis and disability is a herniated spine. Degenerative changes like disc herniation (also known as a slipped or slippy disc) may also be susceptible to this disc.

  • Lower back herniations and bulging discs are most frequently found at the level or in the L4–L5 segment.
  • One can find the L4–L5 at the beltline. It is in charge of 95% of the waist’s bending and twisting motions.
  • This segment is the most heavily loaded because it supports the upper bodies by performing load-bearing functions. The L4–L5 region of the spine is frequently the location of spinal disc bulges due to the excessive strain it experiences.
  • Lumbar decompression surgery, sometimes called L4-L5 disc surgery, is a surgical procedure used to relieve pressure on the spinal nerves in the lower back caused by herniated discs.
  • Being one of the most common spinal surgeries done worldwide, the cost of this procedure varies greatly based on several variables, including the nation in which it is done.
  • India has become a well-liked medical tourism destination in recent years, providing top-notch healthcare services at a significantly lower cost than in Western nations.
  • The L4–L5 spinal segment is frequently the cause of both acute and chronic lower back pain or headaches. Sciatic-like symptoms can result from a disc bulge between the L4 and L5, which impinges on nerves that run down the legs. A slipped disc may result in a pinched nerve.
  • A slipped disc, or bulge, in the L4-L5 region, can lead to serious health problems, including problems with reproduction and impotence. Infertility, loss of control over the bladder or bowel, paralysis in one or both legs and even death are other possible outcomes. L4–L5 pinched nerves can result from thickening of the ligament (“hypertrophy of ligamentum flavum”) or bone spurs (spondylosis).
  • The L4-L5 spine segment can be treated with surgery or injections, regardless of the underlying cause. For someone to recover, a precise diagnosis and treatment that addresses the underlying cause are essential.

L4 and L5 Disc Surgery in India

  • The lower back’s intricately structured region is called the lumbar spine. It is composed of the lower vertebrae in the spine, L4 and L5, which are L1 through L5. With the joints, discs, nerves, and tissues attached, they are undamaged. Since the structure serves a variety of purposes, the L4–L5 position is crucial for upper body movement that permits movement in all planes of the body.
  • It gives the lower back the ability to bear weight and perform top movements. Although there are a lot of non-surgical options to help with the conditions, their chances of success are low.
  • However, in more severe cases, surgical treatments are more effective at producing the best results. When a disc bulges and herniates, it occurs. Along with other issues, the person experiences excruciating pain, paralysis, weakness, and numbness. It negatively impacts their health and makes it difficult for them to lead happy lives.

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Causes of Damage to The Spinal Disc

There are two main components to intervertebral discs.

  • The nucleus pulposus makes up the inner section, while the annulus fibrosus forms the outer rim.
  • The nucleus pulposus, the inner part of the spine, may protrude from the outer ring as a result of injury, repetitive trauma, continuous axial load on the spine, and weakness in the lower back muscles. There are numerous varieties of slipped discs, including prolapsed, fragmented, extruded, and disc bulge or herniation.
  • There may be an impingement on a nerve root that is already there. In severe cases, an L4 disc herniation may impinge on multiple traversing nerve roots. The L5 and S1 nerve roots are included in this.
  • This means that the spine and numerous nerve roots can be pinched by a single slip disc. Due to nerve root impingement and spinal cord compression, L4–L5 is frequently chosen.

Common Issues with the L4-L5 Spinal Sections

Some regular causes of low back pain are listed below.

  • Disorders of the muscles and ligaments
  • Spinal or facet joint disorders
  • Disc slid (slip disc)
  • Spondylolisthesis
  • Spondylosis
  • Stenosis of the spinal canal
  • Foraminal Stenosis
  • Diseases of the Muscle and Ligaments at L4–L5

Ligamentum flavum disorders, damage, and injuries are all common problems that should be taken seriously. L4-L5 segment problems are frequent. Almost everyone over 40 is impacted by them. Having issues with the muscles or ligaments is insufficient, though.

Back pain may result from injury to the muscles or ligaments. The term “ligamentum flavum” describes a ligament with muscular properties. It has contractile properties as a result. Ligamentum Flavum hypertrophy brought on by injury compresses the spinal cord and nerves.

Disc Herniation Risk Factors

A herniated distal disc may be more likely to occur in you if certain conditions exist. Among these are:
  • Gender: Men aged 20 to 50 are most likely to have a herniated distal disc.
  • Improper lifting: Inappropriate lifting can lead to herniated discs. Lifting while twisting can also put the back at risk. To save your spine, it is preferable to lift with the legs rather than the back.
  • Weight: The lower back area may experience further strain if you are overweight. Activities that repeatedly put a strain on your spine. A lot of jobs involve exertion. Certain jobs necessitate repetitive lifting, tugging, and twisting. By employing safe lifting methods and other movement strategies, one can protect your back.
  • Frequent driving: The spine may experience pressure from extended sitting.
  • A lifestyle of inactivity: Exercise regularly is essential to prevent many illnesses, including herniated discs.
  • Smoking: It’s thought that smoking shortens the discs’ oxygen supply and speeds up degeneration.

Disorders of the Spinal Joints

As previously stated, the L4-L5 spinal segment is both the most mobile and least burdened in the lower back. Weight-bearing and sitting add to the strain on these areas. The cartilage lining the facet joints, or spine joints, contains synovial membranes. Stress from sitting or standing can cause fluid to build up in joints. Excessive fluid accumulation is the cause of bone spurs, arthritis, and joint degeneration (facet hypertrophy).

Slip-Disc L4–L5 (Slipped Disc)

  • Medical terms for a slipped or slipped disc include bulging, herniated, prolapsed, and protruding discs. A L4/L5 slip-disc can occur when the L4/L5 spinal disc degenerates or wears down.
  • The most common location for spinal disc degeneration, disc bulge, or slipped disc is the L4–L5 segment. 
  • Slip discs between the L4 and L5 can bulge or herniate, compressing the thecal sac and spinal cord fibres. Even the smallest amount can result in significant harm or compression of a nerve or spinal cord fibres. 
  • Nerve degeneration may result from nerve compression. Degenerative changes in the nerve can result in pain, paralysis, and weakness.
  • A compressed nerve may result from a bone spur or slipped disc. Furthermore, spondylosis, arthritis, and bone spurs can result in a compressed nerve. 
  • Compressed nerves, especially at the L4-L5 region of the lower back, should be treated right away, regardless of the underlying cause.

Spondylolisthesis L4-L5

L4-L5 degenerative spondylolisthesis can be congenital or acquired, causing one or more vertebrae to move forward from those below. Spondylolisthesis, or the slipping of one vertebra to the other, is categorized based on severity.

  • Grade I spondylolisthesis: Less than 24% of forward slippage
  • Grade II spondylolisthesis: with a 25–49% slippage
  • Grade III spondylolisthesis: 50–74% slippage
  • Additionally, a Grade IV Spondylolisthesis: more than 75% of the time

Any co-condition can be linked to spondylolisthesis. The following are the most typical spondylolisthesis conditions:

  • Ligamentum flavum and hypertrophy: The thickening of a spine ligament inside the canal
  • Facet hypertrophy: arthritis and bone spurs
  • Disc degeneration: is the result of spinal disc wear and tear.
  • Joint Degeneration: Spinal joint deterioration
  • Spinal canal enlargement: reduction in spinal canal dimensions
  • Foraminal Stenosis: the narrowing of the openings where the spinal nerves exit the body.

Spondylolisthesis may pose a significant issue. Sciatica at the L4-5 spinal segment, back pain, and leg pain can all be symptoms of spondylolisthesis. Moreover, it may result in paralysis and weakness. Both the degenerative and the acquired forms can be treated without surgery.

Common signs and symptoms resulting in L4–L5

The L4-L5 motion segment may result in radicular symptoms that travel through nerves or referred pain from the muscles and/or joints. L4-L5 referred pain is usually felt as a dull ache and stays in the lower back. Moreover, the back could feel rigid.

The L4-L5 motion segment may result in sciatica, also known as lumbar radicular pain of the L4 and/or L5 spinal nerves, depending on the nature and severity of the underlying cause. Typical signs and symptoms include the following:

  • Sharp pain, which usually feels like a burning or shooting sensation that starts in the lower back, spreads down the leg along a particular nerve and occasionally affects the foot.
  • Paraesthesia or numbness in various areas of the leg, thigh, leg, foot, and/or toes.
  • Weakness when moving the thigh, knee, or foot in different directions.
  • Unusual feelings, like tingling or a pins-and-needles sensation.

Any one of these (dermatomal) regions may also be the sole source of a stabbing pain or ache. Although lumbar radiculopathy usually affects one leg at a time, it can occasionally affect both legs at once.

The Cost of L4 L5 Surgery in India

The severe spine conditions have an impact on the person’s ability to perform daily tasks and bodily functions. It hurts so bad that their neck and back hurt. To control the conditions and get better relief, one must select the most effective strategy. The cost of l4-l5 disc surgery is significantly lower in India.

The cost of l4-l5 disc surgery in India aids patients in controlling their issues and finding relief. Many problems can be successfully treated with spine surgeries. The best centre has a higher success rate for L4 and L5 disc surgeries. The type of surgery you have will also affect the cost.

Several costs are included in the cost of l4-l5 disc surgery in India. In comparison to many developed countries, India offers far more affordable prices. The most affordable l4-l5 spine surgery cost in India aids patients in covering their expenses.

Numerous cutting-edge strategies and techniques can be used to manage the procedure. These help produce positive outcomes under challenging circumstances. The type of surgery one will have will determine the cost. For example:

Spinal decompression

  • A highly skilled and trained spine surgeon will perform spinal decompression surgery to treat lower back pain caused by pressure on the spinal nerves and related structures.
  • The muscles will relax during decompression surgery, which could help to minimize pain.
  • Decompression surgery is a procedure where the muscles are relaxed, and the pain can be minimized to an extent.
  • The cost of endoscopic decompression starts from USD 4,500.


  • Qualified spine surgeons perform minimally invasive spine surgery at the best hospital.
  • During surgery, spine physicians will use micro cameras and supporting equipment to help them reach the exact location where they need to perform the procedure and improve the patient’s quality of life.
  • Minimally invasive spine surgery procedure costs between USD 5,000 to USD 6,500.

Artificial Spine Lumbar Disc Replacement

  • To perform this surgical procedure, an artificial implant with a synthetic platform is made using the required alloys.
  • This technique relieves lower back pain and lessens the disc’s restriction on normal motion.
  • It is a procedure that relieves the pain in the lower spine and at the same time dilutes the obstruction of the normal motion of the disc.
  • This procedure will cost you between USD 6,000 to USD 7,500.

Spinal Fusion

  • Spine surgeons will use a bone donation to perform spinal surgery on the L4-L5 disc.
  • The decision to join the companion vertebrae may come from the patient or donors.
  • To support bone fusion and stabilize the vertebrae, they also employ metallic rods, screws, and other tools.
  • The Spinal fusion surgery cost in India is starts from USD 6,400.

Scoliosis surgery

  • Surgery for scoliosis is a non-surgical pain management option.
  • The procedure is done to treat curves that are starting to form or curves that press against the nerves and cause issues like pain, weakness, or numbness.
  • Although the posterior approach is used for this procedure, the front or side of the vertebrae may also be used.
  • To lessen the pain, a frontal or side approach will be made. To relieve the patient’s pain, the spine surgeons perform the surgery via the posterior (or back) or anterior (or side) approaches of the spine.
  • The approximate cost of scoliosis surgery is USD 12,000.00.

Factors that Influence the Cost of The Best L4-L5 Spine Surgery in India

India offers L4-15-disc surgery at a significantly lower cost than developed nations. Without having to deal with unpleasant situations once more, you can enjoy life.

Furthermore, surgery can be difficult and expensive for the patient. The cost of an L4-L5 disc spine surgery in India will depend on the following factors:

Hospitals: There are numerous hospitals available to help you attain the best surgical techniques and to give you better outcomes. However, some centres and clinics offer real services and care. These offer excellent assistance, but a number of them conceal their clear fees, which have an impact on the entire budget.

Location: India has a large number of renowned spine surgery cities and states. However, the cost of the procedure varies by city. When choosing them for the procedure, one can check the cost. Additionally, the cost may cover additional costs for living, travel, and other lodgings needed while undergoing treatment.

Surgery: The surgical techniques are very effective and call for cutting-edge technology. There are several surgical techniques available to offer greater support. The type of surgery required depends on the patient’s spine and medical conditions. The surgical methods and process will determine how much the entire procedure will cost.

Surgeon: Evidently, India has a large pool of surgeons who can perform excellent surgery. Additionally, for the best results, one will require the best surgeon. They charge a lot for the treatment because of it.

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L4–L5 Nonsurgical Treatment

The following are nonsurgical interventions for the L4-L5 motion segment:

Drugs: The L4–L5 pain region is treated with over-the-counter (OTC) and prescription medications. Non-steroidal anti-inflammatory drugs, or NSAIDs, are typically tried initially. Opioids, tramadol, and/or corticosteroids may be used to treat more severe pain.

Physiotherapy: It is possible to tailor physical therapy and exercise regimens to target L4-L5 and lower back pain specifically. These treatments offer long-term relief by keeping the back stable and the muscles and joints in good condition.

Chiropractic manipulation: Lumbar spine adjustments performed by a chiropractor may help reduce pain associated with the L4-L5 motion segment.

Self-care: to promote healing and/or prevent an L4-L5 injury from becoming worse, a few tips include avoiding:

  • Repeated bending of the spine
  • Sudden, abrupt movements, such as jumping
  • High-intensity exercise and lifting heavy weights

It is important to use correct posture while standing, sitting, walking, lying down, and lifting items off the Floor to maintain a normal spinal curvature and minimize stresses on the spine.

Injection Treatments for L4-L5: Different types of injection treatments can help reduce inflammation and/or stop the L4- LS pain impulses from reaching the brain. An injection containing steroids consists of a corticosteroid (triamcinolone/methyl-prednisolone) and either buprevaine or lidocaine, an anaesthetic. The spine’s epidural zone is where the medications are injected. This region lies in between the bony vertebrae.

Injections of corticosteroids are a very good way to reduce inflammation. They can also be applied straight to the site of pain. The herniated disc will not get smaller after the injection. Eliminating the swollen proteins solely impacts the spinal nerves. It can offer long-lasting pain relief—many days or even years.

Lumbar epidural steroid injections: Steroids injected directly into the spinal epidural space can help decrease inflammation and reduce the sensitivity of nerve fibres to pain, generating fewer pain signals. These injections are more effective in treating the inflammatory causes of pain, such as pain from herniated disc fragments, and are typically less effective for compressive causes of pain.

Radiofrequency ablation: Radiofrequency ablation may be used to treat pain stemming from the L4-L5 vertebral facet joints. A part of the pain-transmitting nerve is heated with a radiofrequency needle to create a heat lesion.

Lyfboat is the best place to get the most affordable 14–15-disc surgery cost in India. When it comes to spine-related problems, it aids in getting the best results. Through us, you can get very advanced technologies and support. The best surgeries are carried out by our highly qualified and experienced spine surgeons.

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